从一个卫生环境到另一个卫生环境调整和实施共享决策工具:使用混合方法的伙伴关系方法
Sophie Turnbull1, Nicola E Walsh2, Andrew J Moore3
1Population Health Sciences, University of Bristol, Bristol, United Kingdom.
Journal of medical Internet research
|July 5, 2023
概括
适应膝关节骨关节炎的共享决策 (SDM) 工具需要解决组织障碍和共同设计可访问性. 成功实施取决于强有力的证据基础和临床医生的支持,以改善患者的治疗结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者决策辅助工具 患者决策辅助工具
- 骨关节炎管理 骨关节炎管理
背景情况:
- 膝关节关节炎是导致疼痛和残疾的主要原因,影响英国10%的成年人.
- 共享决策 (SDM) 赋予患者权力,减少治疗不平等.
- 在英格兰西南部,针对膝关节骨关节炎的SDM工具的调整进行了探索.
研究的目的:
- 评估 SDM 工具对膝关节关节炎的适应过程.
- 评估在当地临床调试组 (CCG) 中实施这一SDM工具的潜力.
- 了解参与工具适应和实施的利益相关者的经验.
主要方法:
- 一种混合方法的方法,结合了为临床医生进行的基于网络的调查和与利益相关者的定性访谈.
- 对定性数据的框架分析与理论领域框架 (TDF) 进行映射.
- 使用频率和百分比来总结调查数据.
主要成果:
- 23名临床医生和8名利益相关者参加了会议.
- 障碍包括缺乏支持性的组织文化,临床医生买入和可访问性问题.
- 促进者包括临床领导者认可,积极的用户体验和提高意识.
结论:
- 适应跨卫生环境的工具需要仔细考虑证据基础和知识产权.
- 共同设计方法对于提高工具的可访问性和可接受性至关重要.
- 建议侧重于使用基于证据的,可适应的干预措施,及早寻求法律意见.
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